Acute and Critical Care

Case Report

Surgery
Critical Illness Neuromyopathy Complicating Cardiac Surgery: Wan Ki Baek, Young Sam Kim, Joung Taek Kim, Byoung-Nam Yoon; Acute Crit Care. 2018;33(1):51-56. Published online July 11, 2017; DOI: https://doi.org/10.4266/acc.2016.00255

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Critical illness neuromyopathy (CINM) is a sporadically reported disease in the setting of an intensive care unit developing in the process of managing a critical illness. The disease primarily affects the motor and sensory axons and results in severe limb weakness rendering ventilator weaning extremely difficult. We report a case of CINM after cardiac valve surgery. Quadriplegia developed after the operation and resolved slowly over the following 2 months. The patient was discharged home free of neurologic symptoms.

Citations

Citations to this article as recorded by

Quadriplegia after Mitral Valve Replacement in an Infective Endocarditis Patient with Cervical Spine Spondylitis
Ji Min Lee, Seon Yeong Heo, Dong Kyu Kim, Jong Pil Jung, Chang Ryul Park, Yong Jik Lee, Gwan Sic Kim
Journal of Chest Surgery.2021; 54(3): 218. CrossRef
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Kanmani Murugesu, PremanandanN Sivadasan, Michael Arvind, WilsonLiew Wei Xin
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Original Article

The Study of Rescuer's Fatigue by Changes of Compression-Vetilation Ratio using Manikin Model of the One-Rescuer CPR: Hee Bum Yang, Young Mo Yang, Jong Wan Kim, Won Young Sung, Ho Lee, Jang Young Lee, Sung Youp Hong; Korean J Crit Care Med. 2006;21(2):116-125.

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Abstract PDF: BACKGROUND
The point of this study is focused on the rescuer's fatigue may increase as the ratio of chest compression-ventilation increases.
METHODS
10 students of emergency medical service and resucue had participated in this study. Cardiopulmonary resuscitation (CPR) was carried out with Laerdal's ResusciAnne with 4 types of compression-ventilation ratio (C-V ratio), and the data was recorded. The rescuer's fatigue was subjectively estimated with the visual analogue scale (VAS), objective fatigue was measured by median frequency which was acquired from the electromyography (EMG) signal, heart rate and the serum lactate level was measured. Statistical analysis was accomplished within each C-V ratios.
RESULTS
As C-V ratio increased from 15 : 2 to 30 : 2, the quality of chest compression was improved. Subjective fatigue was increased significantly when C-V ratio increased to 30 : 2 from 15 : 2 and to 60 : 2 from 45 : 2. Gradual downward transition of the median frequency on EMG was shown as a result of increments of C-V ratio. Significant serum lactate accumulation had shown on ratio of 60 : 2 compare to other ratios.
CONCLUSIONS
Fatigue of the rescuers will be aggravated by increase of C-V ratio. Rapid rescuer change is preferable when C-V ratio is increased.

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